,,iv  #aai? ,,congress  #a/ ,session    
,h4 ,,res4 #fja  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,july #bc1 #bjbe,ms4  
,de,gette 7= h]self1 ,mr4 ,rask91 & ,mr4
 ,au*9closs7 submitt$ ! foll[+          
resolution2 :i* 0 ref]r$ to ! ,committee
 on ,en]gy & ,comm]ce  ,,resolution     
,recogniz+ ! duty ( ! ,f$]al ,gov]nm5t  
to lead ! _w 9 biom$ical rese>*4  ,:]eas
 ! model ( ,f$]al ,gov]nm5t fund+ to    
support free sci5tific inquiry 9        
p>tn]%ip ) academia & indu/ry s9ce ,_w  
,w> ,,ii has produc$ an unprec$5t$      
increase 9 k ab\t m$ic9e & ! human body2
 ,:]eas ! ,national ,in/itutes ( ,heal? 
has gr[n f a s+le laboratory at its     
f\nd+ 9 #ahhg to ! _w's lead+ grant-mak+
 ag5cy & cr[n jewel ( biom$ical progress
 z ! _w's l>ge/ s+le public fund] (     
biom$ical & behavioral rese>*2 ,:]eas ! 
,f$]al ,gov]nm5t's unprec$5t$ inve/m5t 9
 rese>* to solve milit>y m$ical *all5ges
 9 ,_w ,w> ,,ii directly l$ to          
break?r\ghs su* z l>ge-scale p5icill9   
production1 u%]$ 9 a gold5 age ( drug   

developm5t1 & provid$ ! f\ndation = !   
,national ,in/itutes ( ,heal? extramural
 rese>* program2 ,:]eas ! funds ( !     
,national ,in/itutes ( ,heal? support   
basic rese>* t enables d[n/ream         
sci5tific break?r\ghs b t _c be         
replicat$ 9 private sett+s1 z ?is rese>*
 (t5 _c be directly monetiz$ into a     
m>ketable good or s]vice or is consid]$ 
too e>ly-/age1 too risky1 or too complex
 = indu/ry inve/m5t2 ,:]eas rese>*      
support$ by ! ,national ,in/itutes (    
,heal? has und]p9n$ ne>ly e new drug    
approv$ by ! ,food & ,drug ,adm9i/ration
 9 ! #ba/ c5tury2 ,:]eas f$]ally fund$  
rese>* into ! hepatitis ,c virus pav$ ! 
way = direct-act+ antivirals t cure a   
previ\sly life-?reat5+ disease 9 #ie    
p]c5t ( cases2 ,:]eas ! dea? rate =     
,,hiv_/,,aids has decreas$ f a peak (   
#af4b p] #ajj1jjj 9 #aiie to #a4d p]    
#ajj1jjj today1 & #ej drugs are n[      
available to manage ,,hiv2 ,:]eas       
,national ,in/itutes ( ,heal? rese>* has
 improv$ und]/&+ ( ! causes1 prev5tion1 

& treatm5t ( he>t disease1 lead+ 9 "p to
 a r$uction 9 ! dea? rate f he>t disease
 f #cjg p] #ajj1jjj 9 #aiej to #ace p]  
#ajj1jjj 9 #aiif1 & decreas$ rates (    
/roke by #gj p]c5t 9 ?is same p]iod2    
,:]eas ! ,national ,in/itutes ( ,heal?'s
 m ?an #h1jjj1jjj1jjj annual inve/m5t 9 
canc] rese>* g5]ates #fi1jjj1jjj1jjj 9  
annual economic activity & #g1jjj1jjj   
jobs1 & has fuel$ a r$uction 9 ! canc]  
dea? rate 9 ! ,unit$ ,/ates by #cd p]c5t
 f #aiia to #bjbb1 av]t+ approximately  
#d1ejj1jjj dea?s2 ,:]eas rese>* fund$ by
 ! ,unit$ ,/ates ,gov]nm5t ov] #ce ye>s 
prior to ! ,,covid-#ai p&emic l$ to !   
capability ( develop+ & deliv]+         
effective vacc9es 9 "u #a ye>2 ,:]eas ! 
,human ,g5ome ,project laun*$ ! g5omic  
revolution :ile produc+ #gif1jjj1jjj1jjj
 9 economic returns = an inve/m5t ( only
 #c1hjj1jjj1jjj1 a return on inve/m5t ( 
#bji = e #a inve/$1 & ! ,all ( ,u       
,rese>* ,program w enable a fur!r       
revolution 9 precision m$ic9e2 ,:]eas   
f$]ally support$ rese>* l$ to ! rec5t   

developm5t & use ( a miracul\s          
p]sonaliz$ g5e-edit+ !rapy to treat an  
infant ) a r>e1 incurable disease1 mak+ 
hi/ory & lay+ ! gr\ndwork to rapidly    
develop treatm5ts = o!r r>e g5etic      
diseases2 ,:]eas rese>*]s 9 ,am]ica1 due
 to sci5tific work=ce breat$ by public  
inve/m5t1 are uniquely position$ to     
address major *all5ges 9 public heal? & 
m$ic9e1 includ+-- 7#a7 an ag+           
population1 ) ne>ly #eh1jjj1jjj         
,am]icans age #fe or old] & increas+2   
7#b7 approximately #f 9 #aj ,am]icans h 
at lea/ #a *ronic disease2  7#c7 m ?an  
#ij-p]c5t ( ! ,nation's                 
#d1ejj1jjj1jjj1jjj 9 annual heal? c>e   
exp5ditures g to treat individuals )    
*ronic diseases & m5tal heal?           
conditions2  7#d7 ov] #b1hjj1jjj        
antibiotic resi/ant infections occur 9 !
 ,unit$ ,/ates annually2  7#e7          
approximately #ide1jjj ,am]icans die (  
he>t disease or /roke ea* ye>2  7#f7    
approximately #b1jjj1jjj ,am]icans are  
diagnos$ ) canc] ea* ye> & ov] #fjj1jjj 

,am]icans die f canc] ea* ye>2  7#g7 ov]
 #ch1jjj1jjj ,am]icans h diabetes1 & ov]
 #ih1jjj1jjj ,am]icans h pr$iabetes2 &  
7#h7 ne>ly #g1jjj1jjj ,am]icans h       
,alzheim]'s disease2 ,:]eas ! ,trump    
adm9i/ration has r$uc$ ! biom$ical      
rese>* capacity ( ! ,unit$ ,/ates & put 
! ,unit$ ,/ates at risk ( los+ a        
g5]ation ( sci5tific tal5t2 ,:]eas !    
,trump adm9i/ration at its outset halt$ 
,national ,in/itutes ( ,heal? advisory  
c\ncils & /udy sections1 effectively    
freez+ new grantmak+ activities2 ,:]eas 
! ,trump adm9i/ration implem5t$ a       
communications freeze at ! ,dep>tm5t (  
,heal? & ,human ,s]vices1 prev5t+       
rese>*]s at ,national ,in/itutes (      
,heal? ,cl9ical ,c5t] f meet+ ) pati5t  
gr\ps or recruit+ pati5ts = cl9ical     
trials ( new !rapies2 ,:]eas ! ,trump   
adm9i/ration's ban on rese>* 9          
collaboration ) int]national p>tn]s or  
involv+ topics deem$ disfavor$ l$ to !  
illegal t]m9ation or delay ( ne>ly      
#b1ejj m]itori\s grants at ! ,national  

,in/itutes ( ,heal? 9 ! fir/ #d mon?s ( 
! adm9i/ration2 ,:]eas ! ,trump         
adm9i/ration fir$ ?\s&s ( employees     
support+ critical biom$ical rese>* at ! 
,dep>tm5t ( ,heal? & ,human ,s]vices1   
includ+ at ! ,national ,canc] ,in/itute1
 :]e ! adm9i/ration fir$ /aff           
responsible = dissem9at+ new evid5ce on 
canc] treatm5t & diagnosis1 leav+       
doctors & pati5ts to access outdat$     
in=mation1 & delay+ sci5tific progress  
t[>d f9d+ new treatm5ts & cures2 ,:]eas 
! ,trump adm9i/ration has propos$ cutt+ 
fund+ = ! ,national ,in/itutes ( ,heal? 
by #dj-p]c5t & r$uc+ its #bg ,in/itutes 
& ,c5t]s to j #h1 :i* w\ld significantly
 und]m9e ! abilities ( ! ,in/itutes to  
effectuate _! core sci5tific missions & 
decimate progress t[>d und]/&+ & treat+ 
disease2 ,:]eas ! ,congressional ,budget
 ,(fice has f\nd t a #aj-p]c5t fund+    
r$uction = ! ,national ,in/itutes (     
,heal? w\ld result 9 #b few] drugs com+ 
to m>ket ea* ye>2 ,:]eas ! ,trump       
adm9i/ration has1 = ! fir/ "t 9         

,national ,in/itutes ( ,heal?'s hi/ory1 
plac$ political appo9tees 9 positions   
o!r ?an ! ,director & ! ,director ( !   
,national ,canc] ,in/itute1 includ+ )9 !
 ,national ,in/itutes ( ,heal?'s        
,in/itutes & ,c5t]s1 ?reat5+ !          
indep5d5ce ( ! ,national ,in/itutes (   
,heal? sci5tific decision mak+1 & risk+ 
! ,am]ican p's tru/ 9 ! ,national       
,in/itutes ( ,heal?'s inve/m5ts1        
/atem5ts1 & advice2 ,:]eas ! ,trump     
adm9i/ration is purg+ sci5ti/s :o are   
se5 z insuffici5tly align$ ) !          
adm9i/ration's views f ,national        
,in/itutes ( ,heal? processes2 ,:]eas ! 
,trump adm9i/ration has halt$ fund+     
allocat$ to lead+ academic rese>*       
in/itutions = lifesav+ rese>* z lev]age 
to a*ieve unrelat$ policy objectives1   
!reby halt+ or delay+ ongo+ biom$ical   
rese>* projects2 & ,:]eas ! actions ( ! 
,trump adm9i/ration h l$ our adv]s>ies  
to attempt to entice our rese>*]s &     
sci5ti/s to leave our %ores & relocate  
abroad3 ,n[1 !re=e1 be x ,t x is ! s5se 

( ! ,h\se ( ,repres5tatives t-- 7#a7 !  
biom$ical rese>* ( ! ,unit$ ,/ates &    
developm5t capacity is a national asset 
t mu/ be protect$1 improv$1 & exp&$2    
7#b7 ,f$]al ,gov]nm5t ef=ts ?r\gh !     
,national ,in/itutes ( ,heal? ensure a  
robu/ biom$ical rese>* app>atus &       
support ! global role ( ! ,unit$ ,/ates 
z a lead] ( biom$ical advancem5t &      
innovation2  7#c7 ! biom$ical rese>*    
work=ce ( ! ,unit$ ,/ates1 includ+ !    
public s]vants at ! ,national ,in/itutes
 ( ,heal? & o!r ,f$]al ag5cies1 %\ld be 
treat$ ) respect1 & ! jobs associat$ )  
biom$ical rese>* %\ld (f] good pay &    
b5efits2  7#d7 protect+ public heal? mu/
 be a :ole-(-gov]nm5t collaboration     
beg9n+ ) ! rese>* necess>y to advance   
public heal?2  7#e7 ,f$]al ,gov]nm5t    
support is integral to-- 7,a7 tra9+ new 
sci5ti/s 9 v>i$ public heal? & rese>*   
discipl9es2  7,b7 enc\rag+ & facilitat+ 
premi] sci5ti/s to /ay 9 ! ,unit$ ,/ates
 = _! c>e]s2  7,c7 ensur+ a robu/ field 
( sci5ti/s 9 ! ,unit$ ,/ates :o are     

committ$ to ! advancem5t ( sci5ce1      
public heal?1 & biom$ic9e2 &  7,d7      
/ability ( biom$ical rese>* fund+ s t   
,unit$ ,/ates-bas$ rese>*]s are focus$  
on sci5ce & advancem5t r ?an            
adm9i/rative burd5s or political        
int]f]5ce2  7#f7 sci5tific decision mak+
 9 ! ,f$]al ,gov]nm5t %\ld be driv5 by !
 be/ available evid5ce1 effectuat$ by   
pe]-review$ sci5ti/s1 & insulat$ f      
political int]f]5ce2  7#g7 ov] ! next   
decade1 ! ,f$]al ,gov]nm5t %\ld d\ble   
its inve/m5t 9 biom$ical rese>* &       
prop]ly apply+ ! f9d+s ( biom$ical      
rese>* to m$ical practice2  7#h7 ,f$]al 
biom$ical rese>* inve/m5ts %\ld-- 7,a7  
support basic rese>* t improves our     
und]/&+ ( ! human body 9 all its        
div]sity1 & h[ ext]nal factors su* z    
life/yle factors1 social factors1 &     
environm5tal factors affect its         
function2  7,b7 support rese>* t seeks  
to cl>ify ! root causes ( diseases2     
7,c7 support translational sci5ce t     
accel]ates access ( ,am]icans to novel  

treatm5ts2  7,d7 support pot5tially     
trans=mative high-risk1 high-rew>d      
rese>*2  7,e7 support & enable          
collaborative1 broad-bas$ res\rces t may
 be us$ across diff]5t rese>*]s &       
in/itutions2  7,f7 support & enable     
rese>* collaboration across individual  
rese>*]s & in/itutions & facilitate k   
%>+2  7,g7 s]ve a dual m&ate ( increas+ 
und]/&+ ( a p>ticul> sci5tific "q &     
increas+ ! capacity ( fund$ rese>*]s &  
in/itutions to p]=m future rese>* (     
value2  7,h7 support transp>5cy1        
acc\ntability1 & replicability 9        
innovative biom$ical rese>*2  7,i7      
support novel processes1 products1 & o!r
 innovations t h ! pot5tial to prev5t1  
mitigate1 or cure disease1 p>ticul>ly ^?
 :i* may r$uce ov]all heal? c>e         
exp5ditures2 &  7,j7 support !          
integration ( evid5ce g5]at$ by         
biom$ical rese>* into cl9ical practice1 
includ+ by exp&+ p>tn]%ips ) ,f$]al     
heal? ag5cies1 heal? pr(essionals1      
pati5ts1 heal? sy/ems1 payors1 indu/ry1 

& community-bas$ organizations2 &  7#i7 
x %\ld be ! policy ( ! ,f$]al ,gov]nm5t 
to inve/ 9 rese>* ) ! pot5tial to       
improve ! quality ( life = all ,am]icans
 & innovations 9 m$ic9e1 includ+-- 7,a7 
rev]s+ ! rec5t decl9e 9 ,unit$ ,/ates   
life expectancy2  7,b7 develop+         
te*nologies to ensure ! ability to      
prev5t & respond to microbial ?reats to 
humans & animals2  7,c7 id5tify+ !      
und]ly+ causes ( neurog5]ative diseases 
& develop+ tools to r$uce ! burd5 ( su* 
diseases2  7,d7 r$uc+ ! dea? rate f     
canc] & improv+ ! quality ( life ( ^?   
diagnos$ ) canc]2  7,e7 r$uc+ ! burd5 ( 
,alzheim]'s disease & relat$ dem5tias1  
includ+ by develop+ evid5ce-bas$ tools  
to effectively prev5t ,alzheim]'s       
disease2  7,f7 r$uc+ ! numb] ( p :o die 
wait+ = transplantable organs to z]o2   
7,g7 avoid+ prev5table diabetes         
diagnoses2  7,h7 r$uc+ dea?s f          
c>diovascul> disease1 includ+ /roke2    
7,i7 develop+ v]satile !rapeutic plat=ms
 t c be repurpos$ = v>i\s applications1 

includ+ treatm5ts = ultr>>e g5etic      
diseases2  7,j7 develop+ effective      
int]v5tions to prev5t & treat *ronic    
symptoms ( viral & bact]ial infections1 
includ+ ,,covid-#ai1 ,lyme disease1 &   
,ep/e9-,b>r virus2  7,k7 develop+       
effective prev5tive vacc9es & !rapeutics
 = diseases t h hi/orically affect$     
und]s]v$ populations worldwide &        
attract$ l[] levels ( inve/m5t1 su* z   
*ikungunya1 d5gue1 & mal>ia2 &  7,l7    
improv+ repres5tation 9 cl9ical trials  
to ensure broad applicability (         
sci5tific f9d+s & improve ! heal? (     
und]s]v$ populations4